I'm just a veterinarian! You've unlocked the Great Physician System!
Chapter 355 Repair Failed, Pupils Dilated, County Hospital Under Overwhelming Pressure! [Requesting
Chapter 355 Repair Failed, Pupils Dilated, County Hospital Under Overwhelming Pressure! [Requesting Monthly Tickets]
"coming--"
The heads of general surgery, neurology, and even cardiology all arrived at the door at that moment.
As for the top experts, they were waiting in the operating room.
They'll be wheeled in shortly to perform the surgery.
After all, in this situation, time is life.
Even a second's delay could mean the loss of all previous efforts.
"Everyone prepare to receive the arrival! Keep the emergency exits clear!!"
The deputy director of the county hospital and director of the emergency department shouted.
She is under a lot of psychological pressure right now.
Why? Because of Veterinarian Zhang.
This is a well-known online figure who came to Liangshan to do a live broadcast.
She had just heard that the person had already made a confession, and there might be a problem with their internal organs. In fact, not only Meibu County attaches great importance to publicity, but the publicity departments of the entire Liangshan Prefecture also attach great importance to it.
For example, the previous external cephalic version corrected a six-month-old fetus whose umbilical cord had twisted fifty-two times.
Later, it was issued by the People's Hospital of Meibu County. The emergency department sent someone who didn't know the condition, but Veterinarian Zhang diagnosed diabetic ketoacidosis based solely on the smell.
They raced against time to save the person.
Imagine that the other party has now also discovered cases in their Gede County and issued a warning.
As a result, the cases in other counties of Liangshan were saved, but the cases in Dege County were not.
What if it trends on social media?
This must have put a lot of pressure on the local propaganda department.
Therefore, the leader's instruction was to do everything possible to save this case that had been mentioned by Veterinarian Zhang.
"The person is unconscious, but fortunately, their heart hasn't stopped; otherwise, with a ruptured heart, there would be no way to perform CPR!!"
It was winter.
He Yueyue was sweating profusely with anxiety.
"Xinxin!!!"
Mo Xiao'e shouted.
She has completely forgotten that she is a patient, with a bandage wrapped around her head.
Who would have thought that not wearing a seatbelt would have such serious consequences?
No wonder she thought the doctors' expressions were a bit strange at first, and the ambulance was inexplicably speeding up.
It feels like it can drift.
There was also the nurse's initial confusion, followed by various reassuring expressions towards Xinxin.
It wasn't until Xinxin fainted that she realized what had happened. It turned out that the veterinarian Zhang who diagnosed her had actually been right about Xinxin's condition, knowing that her internal organs had ruptured.
During the previous inspection...
Dr. He discovered a heart problem, which is why he specifically comforted his friend by having him lie in bed.
How does she know all this?
She didn't know that at first either.
It wasn't until they entered the county and her friend began to lose consciousness that she learned the truth from the panicked nurse, Tian Anmeng.
What if someone experiences cardiac arrest, or if their heart ruptures, making CPR impossible?
Then another stretcher bearer urged the driver to hurry up, as the patient had already lost consciousness.
She also saw police cars leading the way, and all the traffic lights were green.
Really.
This was the first time she had ever been treated this way.
There were at least ten traffic lights between the entrance to the county town and the hospital, but the driver did not slow down at all; in fact, the speed only increased.
The person was eventually successfully transported to the hospital.
It was truly a very dangerous situation.
"Quickly, quickly, perform the necessary examinations and then proceed with the surgery immediately!"
At that moment, the medical staff did not have time to anesthetize Tao Lexin and directly inserted a trachea.
"Dududu-"
Right now.
Tao Lexin's phone rang.
"Xinxin, the tow truck is ready here. You should be more than halfway there now, right? How is Xiao'e doing?"
It was Shuxue on the other end of the phone.
As mentioned before, there was an accident and the car couldn't be driven.
The tow truck was simply following behind the police car and the ambulance.
It was probably delayed by about 30 or 40 minutes.
Now that the other party has finished towing the car, Shuxue made a phone call to ask what happened.
Especially Xiao'e's situation.
After all, in my memory, Xiao'e was someone lying on a stretcher.
"Shuxue, it's me, Xiao'e. We've arrived at the hospital..."
On Luoji Mountain.
"What? You're already at the hospital? Why is Xiao'e answering the phone? Where's Xinxin?!"
Upon hearing the voice on the other end of the phone, Shuxue felt an unprecedented sense of confusion.
"?"
"Have you arrived at the hospital?"
"That can't be! Less than an hour has passed, only about fifty minutes. Normally, it would take an hour and a half to drive there!"
"I have actually taken someone to the hospital before, to be precise, for eighty minutes, which is one hour and twenty minutes."
Shuxue's voice was a bit loud.
Some people overheard it.
He frowned immediately.
It seems a bit unbelievable.
After all, how could it be so fast?
"But they have no reason to lie to us, right? Maybe the ambulance driver was speeding!"
Normal people drive at a relatively slow speed.
After all, the mountain road is winding.
But if it's an ambulance, that's hard to say.
If you rush along the way, there's still a chance you'll arrive half an hour ahead of schedule.
This kind of thing is often seen among experienced drivers who run rural transport.
It takes others an hour to drive.
These experienced drivers practically welded the accelerator pedal shut.
It took just over half an hour to get there.
"Ah! Xinxin is being resuscitated! Holy crap! That means Dr. Zhang was right again! Oh my god!!"
Shuxue was completely dazed.
Because she heard Xiao'e say on the phone that Xinxin was being rescued.
He is completely unconscious.
"Yes, even the doctors said that if Xinxin hadn't been brought in so early, she might not have even had a chance to be saved. Is that veterinarian Zhang still there? If he is, please thank him. Really, really."
Mo Xiao'e said.
She had heard Dr. He and the others say that before.
It was after listening to Dr. Xiaochuan, the veterinarian Zhang, that she performed an ultrasound on the patient and ultimately discovered the heart problem.
If I hadn't had a cardiac ultrasound, I would never have discovered this.
It won't even make the driver speed up.
The end result was that the person died as soon as they arrived at the hospital.
This is no joke, it's absolutely true.
"Zhang, Zhang the veterinarian...it seems they're about to get on the bus and head back. I'll go see if I can see them, but damn it! They're gone! They've left on the bus..."
Upon hearing her friend say that, Shuxue immediately decided to find Zhang Lingchuan and the others.
After all, Xinxin's life was saved by the other party.
But not long after Xinxin and the others left, Shuxue discovered that Zhang the veterinarian and the others had also left.
It seems they went up to buy train tickets in preparation for leaving.
As she looked up, she saw a car drive by.
On the other side of the car window was the face of Xiao Song, who is quite popular online.
She seems to like wearing a mask when she's out.
She is indeed a very beautiful girl.
"Oh... Well, then we'll have to wait until Xinxin wakes up before we can thank her. I'll contact her uncle and aunt first."
Mo Xiao'e said.
They had eaten at Xinxin's house.
Therefore, I am also familiar with the other party's parents.
"Okay! You can contact them! I'm going out too, I'll go with the police officer's car, and we'll visit you at the hospital on the way."
Shuxue just asked.
The police officer's car can go to the county, and the other party is allowed to give passengers a ride.
And so, she watched as Xiao Song and Zhang Lingchuan boarded the bus and got into the policeman's car.
On the bus.
Zhang Lingchuan and Song Wanqing were unaware that Xinxin had already been sent to the hospital.
"Zhang Laoshi still seems a bit worried. Is it because of Tao Lexin? Her condition must be quite serious..."
Song Wanqing looked at Zhang Lingchuan with a puzzled expression and asked.
"Yes, it is indeed quite serious."
Zhang Lingchuan nodded.
He just doesn't know if this person can hold out until then.
After all, the journey is too far.
If it really is cardiac arrest, the paramedics will have almost no way to handle it. "I can see that; after all, you rarely reveal your identity, and even less so to get someone to the hospital just to believe you!"
Song Wanqing had been by Teacher Zhang's side for quite some time.
They know the other person's personality completely.
That means that unless absolutely necessary, it is almost impossible to reveal one's identity to force patients to seek medical treatment.
"With Comrade Xiao Song's keen observation skills, it's no wonder that Old Song doesn't dare to bring people home."
Zhang Lingchuan made a joke.
I have to say, this little girl is quite observant.
"Old Song... I can't manage him anymore, and I'm not interested in managing him either, but I'm still very interested in Zhang Laoshi."
Song Wanqing smiled slightly, the corners of her mouth lifting.
"Uh uh uh……"
Zhang Lingchuan hesitated, as if he wanted to say something but then stopped.
"By the way, Teacher Zhang, I'm curious to ask, did Tao Lexin suffer from internal bleeding?"
Song Wanqing looked at Zhang Lingchuan.
"After all, you're not wearing a seatbelt while driving... The airbag is there to protect people who are wearing seatbelts. If you're not wearing a seatbelt, the airbag is practically exploding in your chest. Just imagine what that would be like, it would be deadly."
Zhang Lingchuan said helplessly.
"I really don't understand why people would use that thing instead of a perfectly good seatbelt."
Song Wanqing shook her head.
She genuinely felt that this shouldn't have happened.
"Hopefully we can pull through. Although death serves as a greater warning, living is the real negative example."
People are dead.
Often, a trend only lasts for a short time.
Then it was over.
But if this person is still alive, then he is a living, breathing negative example.
"I hope so... I wonder if they've gotten to the hospital yet."
Song Wanqing checked the time.
It seems like it will take quite a long time to get to the hospital from here.
At that moment, the hospital was conducting emergency treatment while performing a series of necessary examinations on her, including CT scans and color Doppler ultrasound. Bedside ultrasound revealed a moderate amount of pericardial effusion.
Echocardiography revealed increased pericardial effusion and blood clot formation.
Normal pericardial effusion in the human body should be 2-3 mm, but Tao Lexin's deepest effusion was 38 mm.
Only about 5 minutes after the first examination, the patient's bleeding increased by 10 millimeters.
This indicates rapid bleeding and an extremely rapid deterioration of the condition, with an estimated blood loss of 800-1000 ml.
The patient is at risk of cardiac arrest at any time due to cardiac tamponade.
Fortunately, multiple departments and units within the hospital, including the Department of Cardiovascular Surgery, Department of Cardiac Anesthesiology, Department of Extracorporeal Circulation, Cardiac Surgery SCICU, Department of Cardiac Ultrasound, Operating Room, and Department of Blood Transfusion, had already planned the rescue route.
Just ten minutes later, the patient was rushed to the operating room for heart rupture repair surgery.
When they arrived at the operating room, the patient's heart had already stopped, and even their pupils were slightly dilated.
Fortunately, the surgery had already begun.
In the operating room.
The open-chest procedure has been completed.
The pericardium of the heart was cut open, and dark red blood gushed out in a jet-like manner.
"My God! So much blood."
"We need to find the rupture site and stop the bleeding quickly! Otherwise, this patient will be in serious trouble, she's such a young girl!"
The doctors present had very solemn expressions.
To stop the bleeding, we must first find out exactly where the heart is ruptured.
However, the pericardial cavity was full of blood, and the heart was still bleeding continuously. The suction speed could not keep up with the bleeding speed, and the blood could not be completely drained in a short time.
However, you can't just move the heart around to examine it, otherwise the laceration may widen further, the bleeding may increase, and there is a possibility of more serious consequences at any time.
Moreover, the difficulty of the surgery lies in the fact that after the heart is damaged and ruptured, there is significant edema and a lot of fatty tissue. The rupture site is very close to the coronary artery. Suturing too much tissue may cause myocardial infarction, while suturing too little may easily cause the sutures to tear and bleed again.
Soon the extracorporeal circulation equipment started operating.
After all, without this device, a person would never be able to get off the operating table during heart surgery, since they would die within minutes if their heart stopped beating.
"The situation is a bit better."
"Yes, the blood has been almost completely processed."
After cardiopulmonary bypass was started, the bleeding decreased.
“In this situation, we can judge based on the color of the bleeding. Let’s check the right heart system first. I think it’s quite likely to be here.”
Based on the color of the bleeding, the surgeon initially determined that the rupture was in the right ventricular system.
"Huh, I can't find it!!"
However, no bleeding point was found after careful examination.
The entire operating room fell silent for a moment.
"Here, behind the heart."
In the operating room.
There was no idle chatter.
There was no relaxed atmosphere at all.
One by one, they searched for the bleeding point with serious expressions.
The director managed to save face in the end.
Finally, a ruptured coronary vein, about 5 millimeters long, was found on the left posterior side of the heart, adjacent to the circumflex branch of the coronary artery.
"I never expected it to be five millimeters!"
"Yes, hurry up and suture and repair it."
"Honestly, that Dr. Ogawa is really amazing. He actually managed to find that the person who was brought in had internal bleeding."
"If it weren't for his reminder, we probably wouldn't even have had a chance to save them, considering how dangerous it was when they were brought here."
Time passed by minute by minute.
After the doctor located the bleeding point, the tense atmosphere lessened somewhat.
"Let's get to work, let's do tailoring."
They started stitching very quickly.
After a rather lengthy surgery, the rupture in the heart was finally stitched up.
"We can remove the extracorporeal circulation device."
The surgeon instructed.
"understand!"
"Great."
"Phew—, they finally saved him, we can breathe a sigh of relief."
"I'm really afraid that this girl won't be saved. If it goes viral on social media, our Dege County will become the only hospital that Veterinarian Zhang specifically named but couldn't save. Just thinking about it makes me feel suffocated."
"Of course! The dean was extremely worried, otherwise how could he have contacted Director Sun and the others?"
"Hehehe, our hospital can release a press release now."
And so, the doctors present turned off the extracorporeal circulation machine.
They also started chatting.
After all, the surgery was completed.
The tension naturally vanished.
I even thought the hospital would definitely release a press release tomorrow.
Previously, Meibu County published two articles in a row.
"Oh no! Director Sun! There's blood!!"
However, just when everyone thought the rescue was over and they could get back to work, something unexpected happened again.
The doctor in charge examined her again and found that she was bleeding again.
"Oh no! Why is there bleeding again! Let me see!"
Director Sun is also a senior director in their county.
He even went to West China Hospital for further studies.
He was originally going out to a meeting.
The hospital directly stated that there was a patient with a ruptured heart.
He canceled the meeting immediately and came over to help with the emergency.
To my utter surprise, the bleeding started again right after the stitches were finished!
"Director, please take a look."
The doctor in charge quickly pointed to an area.
"hiss--"
However they don't know.
At this moment, the hospital's president and vice president watched the video and inexplicably felt a chill run down their spines.
Could this mean the surgery failed?
The county's publicity department has been urging them on!
"It must be a tear that's causing bleeding."
After examining the area carefully, Director Sun replied that the sutured area had torn and bled again at the distal end due to the thin and fragile tissue.
"Let's keep this extracorporeal circulation device running for now, let's continue."
The extracorporeal circulation device was restarted.
They prepared to have the stitches repaired again.
To prevent further tearing, a pericardial patch was applied to the repaired area to prevent further bleeding.
At this moment, the surgery continued in a very tense atmosphere.
Every doctor is under immense pressure.
Including county hospitals.
Even leaders from the Publicity Department and the Culture and Tourism Bureau.
Because whether the repair can be successful not only determines whether the patient named Tao Lexin can get off the operating table.
It also indicates whether their county will be caught in a media storm.
……
(End of this chapter)
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